Active NPI
Jeri Lausch
- Behavior Technician
- Missoula, MT
National Provider Identifier
1649804345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 19-105931
- Practice address
- 700 SW Higgins Ave Ste 116
Missoula, MT 59803-1489 - Phone
- (406) 624-6599
- Fax
- (888) 336-0944
- NPI assigned
- Mar 3, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19-105931 | MT | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peach Tree Academy | Behavior Technician | Past | Accepting new patients |
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 19-105931 | MT | Primary |
Addresses
Primary practice location
700 SW Higgins Ave Ste 116
Missoula, MT 59803-1489
Mailing address
1039 Stoneridge Dr Ste 5
Bozeman, MT 59718-7056
Phone (406) 624-6599
NPI Registry JSON
{
"created_epoch": "1583193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583193600000",
"number": "1649804345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1039 STONERIDGE DR STE 5",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597187056",
"telephone_number": "406-624-6599",
"fax_number": "888-336-0944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 SW HIGGINS AVE STE 116",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598031489",
"telephone_number": "406-624-6599",
"fax_number": "888-336-0944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUSCH",
"first_name": "JERI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-03",
"last_updated": "2020-03-03",
"certification_date": "2020-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MT",
"license": "19-105931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.